Individual provider Active NPI

Beverly A Goering, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1699003186
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3911 Issued in KS
Practice address
350 S Broadway Ave
Wichita, KS 67202-4304
Phone
(316) 660-9600
Fax
(316) 660-9660
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3911 KS Primary

Addresses

Primary practice location

350 S Broadway Ave
Wichita, KS 67202-4304

Mailing address

530 North Exposition
Wichita, KS 67203-5902
Phone (316) 264-8317

Other practice location 1

530 North Exposition
Wichita, KS 67203-5902
Phone (316) 264-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000582 KS Practitioner - Clinical Social Worker 3173792439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

9415 E Harry St
Suite 800
Wichita, KS 67207-5084
Phone (316) 652-2590

Merit-based Incentive Payment System (MIPS)

Final score
56.65 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3911KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health America of South Central Kansas, Inc. CurrentSince May 30, 2018 Accepting new patients
County of Sedgwick CurrentSince Jun 17, 2020 Accepting new patients
County of Sedgwick Current Accepting new patients

Locations

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1699003186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NORTH EXPOSITION",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035902",
            "telephone_number": "316-264-8317",
            "fax_number": "316-264-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024304",
            "telephone_number": "316-660-9600",
            "fax_number": "316-660-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 North Exposition",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672035902",
            "country_code": "US",
            "telephone_number": "316-264-8317",
            "fax_number": "316-264-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERING",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.